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Connecticut rates for HCPCS L4000

Replace Girdle For Spinal Orthotic (Cervic-Thoracic-Lumbar-Sacor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.87 / $836.87 / $836.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.11 / $704.50 / $836.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.42 / $1,721.83 / $1,969.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.87 / $874.87 / $916.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.58 / $897.58 / $897.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.23 / $655.23 / $655.23
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.19 / $1,119.19 / $1,119.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.69 / $1,119.19 / $1,463.56
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.74 / $933.74 / $933.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.27 / $957.27 / $957.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.54 / $859.00 / $1,431.67